# AMICUS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851053920
- **Authorized official:** HERIKA MARIE ECHEVARRIA (CREDENTIALING)
- **Authorized official phone:** (954) 505-5000

## Contact information

- **Practice address:** 480 N STATE ROAD 7, PLANTATION, FL 33317-2834
- **Practice address phone:** (954) 791-9580
- **Practice address fax:** (954) 797-0473
- **Mailing address:** 480 N STATE ROAD 7, PLANTATION, FL 33317-2834
- **Mailing address phone:** (954) 791-9580
- **Mailing address fax:** (954) 797-0473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2021
- **Last updated:** 10/08/2021